Organization
CADILLAC NURSING HOME INC.
Active
Other names
ST FRANCIS NURSING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY J. M. MALI (PRESIDENT)
(248) 577-2632
Entity
Organization
Contact information
Practice address
1533 CADILLAC BLVD, DETROIT, MI 48214-3107
(313) 823-0435
(248) 577-2648
Mailing address
1535 CADILLAC BLVD, DETROIT, MI 48214-3107
(313) 823-0435
(248) 577-2648
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
834210
MI
314000000X
Skilled Nursing Facility
Primary
L2044430
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144216417
NPI
MI
05
—
2150983
—
MI
01
—
S9525
BCBS
MI
Enumeration date
09/22/2005
Last updated
03/23/2012
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